Income and benefits
According to the Bureau of Labor Statistics, the median annual wage for a home healthcare aide was $25,280 in 2019. The lowest 10 percent earned less than $19,430 and the highest 10 percent earned more than $34,180.
The top paying industry was residential intellectual and developmental disability facilities, where the average annual salary was $25,680. This is followed by continuing care retirement communities and assisted living facilities for the elderly, where the median annual salary was $25,600. Next was individual and family services ($25,330) and then home healthcare services ($24,670).
Autonomy and Flexibility
As expected, the level of autonomy and flexibility for a home healthcare aide is neither high nor low. They get to make some decisions over their clients care, but the client will make the final decision. They will also have some flexibility over how they plan their day and which clients they travel to, but as a whole they will have a schedule to stick to.
Locations and commute
According to Zippia, the best states to be a home healthcare aide, based on salary and total number of jobs available, were:
- Alaska, where the average annual salary is $32,378
- Maine, where the average annual salary is $34,206
- Vermont, where the average annual salary is $30,327
- Rhode Island, where the average annual salary is $30,553
- Montana, where the average annual salary is $25,024
The worst states for home healthcare aides, according to Zippia, were Louisiana, Arkansas, Texas, Virginia and Alabama.
Work environment
44% of home healthcare aides in the United States were employed by individual and family services. 25% were employed by home healthcare services, 7% by residential intellectual and developmental disability facilities and 7% continuing care retirement communities and assisted living facilities for the elderly.
Generally, healthcare aides work in clients homes. However, they may also work in small group homes or larger care communities. There is a lot of travelling involved in being a home healthcare aide. Healthcare aides may have to visit four or five clients in one day. Aides may work with other aides, or they may work by themselves! The work can be physically demanding as they may have to move clients into and out of bed or help them with walking. Although rare, healthcare aides may be at risk of violence from patients with mental health issues or cognitive impairments.